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Ilaris ® (Canakinumab) Medical Policy (PDF)

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Ilaris ® (Canakinumab) Medical Policy (PDF) Medical benefit drug policies are a source for BCBSM and BCN medical policy information only. These documents are not to be used to determine benefits or reimbursement. Please reference the appropriate certificate or contract for benefit information. This policy may be updated and therefore subject to change. Effective Date: 02/04/2021 Ilaris® (canakinumab) FDA approval: 2009 HCPCS: J0638 Benefit: Medical Policy: Requests must be supported by submission of chart notes and patient specific documentation. A. Coverage of the requested drug is provided when all the following are met: a. FDA approved indication b. FDA approved age c. Diagnosis of: i. Still’s disease, including adult-onset Still’s disease and systemic juvenile idiopathic arthritis (sJIA) 1. Trial and treatment failure with one of the following: methotrexate, leflunomide, glucocorticoids, NSAIDs 2. Trial and failure, contraindication, or intolerance to Kineret and Actemra ii. Tumor Necrosis Factor Receptor Associated Periodic Syndrome (TRAPS) iii. Hyperimmunoglobulin D Syndrome (HIDS)/Mevalonate Kinase Deficiency (MKD) iv. Familial Mediterranean Fever (FMF) in patients who have tried and failed colchicine v. Cryopyrin-Associated Periodic Syndromes (CAPS) with phenotypes: Familial Cold Auto- Inflammatory Syndrome (FCAS) or Muckle-Wells Syndrome (MWS) 1. Laboratory evidence of a genetic mutation (such as in the Cold-Induced Auto- inflammatory Syndrome 1 (CIAS1 – also referred to as the NLRP-3)) OR 2. Elevated inflammatory markers (C-reactive protein [CRP] and serum amyloid A) plus at least two of six typical CAPS manifestations: a) Urticaria-like rash b) Cold-triggered episodes c) Sensorineural hearing loss d) Musculoskeletal symptoms e) Chronic aseptic meningitis f) Skeletal abnormalities d. Not to be used in combination with other biologics or targeted DMARDs e. Trial and failure, contraindication, OR intolerance to the preferred drugs as listed in BCBSM/BCN utilization management medical drug list. This policy and any information contained herein is the property of Blue Cross Blue Shield of Michigan and its subsidiaries, is strictly confidential, and its use is intended for the P&T committee, its members and BCBSM employees for the purpose of coverage determinations. Page 1 of 6 B. Quantity Limitations, Authorization Period and Renewal Criteria a. Quantity Limits: Align with FDA recommended dosing. b. Initial Authorization Period: One year at a time c. Renewal criteria: Clinical documentation must be provided to confirm that current criteria are met and that the medication is providing clinical benefit. ***Note: Coverage may differ for Medicare Part B members based on any applicable criteria outlined in Local Coverage Determinations (LCD) or National Coverage Determinations (NCD) as determined by Center for Medicare and Medicaid Services (CMS). See the CMS website at http://www.cms.hhs.gov/. Determination of coverage of Part B drugs is based on medically accepted indications which have supported citations included or approved for inclusion determined by CMS approved compendia. Therapeutic considerations: A. FDA approved indication / Diagnosis *Please refer to most recent prescribing information. B. Background Information a. Ilaris is an interleukin (IL)‐1β blocker that is approved for the following indications: i. Periodic Fever Syndromes: 1. Cryopyrin-Associated Periodic Syndromes (CAPS) in adults and children 4 years of age and older including Familial Cold Autoinflammatory Syndrome (FCAS) and Muckle-Wells Syndrome (MWS). 2. Tumor Necrosis Factor Receptor Associated Periodic Syndrome (TRAPS) in adult and pediatric patients. 3. Hyperimmunoglobulin D Syndrome (HIDS)/Mevalonate Kinase Deficiency (MKD) in adult and pediatric patients. 4. Familial Mediterranean Fever (FMF) in adult and pediatric patients. ii. Active Still’s disease, including adult-onset Still’s disease (AOSD) and systemic juvenile idiopathic arthritis (sJIA) in patients 2 years of age and older. b. Periodic Fever Syndromes are a group of rare autoinflammatory diseases that cause disabling and persistent fevers which may be accompanied by joint pain, swelling, muscle pain and skin rashes with complications that can be life-threatening. i. The most common syndrome is FMF, which mainly affects people of Eastern Mediterranean ancestry. It affects 1 in 250 to 1 in 1,000 individuals in these populations, many of whom are children. FMF is characterized by episodic attacks of fever lasting one to three days and accompanied, in most cases, by abdominal pain, pleurisy, and arthralgias/arthritis. ii. TRAPS is characterized by recurrent fevers over months or years. Other clinical features include focal myalgias, conjunctivitis, and rash. Fever and associated symptoms commonly last at least five days and often continue for more than two weeks. iii. HIDS/MKD is characterized by episodic attacks of fever lasting three to seven days accompanied, in most cases, by chills, cervical lymphadenopathy, abdominal pain, vomiting, and/or diarrhea. iv. CAPS are a group of rare genetic diseases affecting approximately 200 to 300 people in the United States, attributed to a specific genetic mutation. There are two types of CAPS recognized that affect the majority of patients. This policy and any information contained herein is the property of Blue Cross Blue Shield of Michigan and its subsidiaries, is strictly confidential, and its use is intended for the P&T committee, its members and BCBSM employees for the purpose of coverage determinations. Page 2 of 6 1. Familial Cold Auto-Inflammatory Syndrome (FCAS) – patients have recurrent intermittent episodes of fever and rash that primarily followed natural, artificial (e.g., air conditioning) or both types of generalized cold exposure. 2. Muckle-Wells Syndrome (MWS) – patients have chronic fever and rash that may wax and wane in intensity; sometimes exacerbated by generalized cold exposure. This syndrome may be associated with deafness or amyloidosis. 3. The diagnosis of CAPS is confirmed by genetic testing for NALP3 mutations. However, in some patients the mutation is not detectable for various reasons. For these situations, diagnostic criteria include raised inflammatory markers (C-reactive protein [CRP] and serum amyloid A) plus at least two of six typical CAPS manifestations: a) Urticaria-like rash b) Cold-triggered episodes c) Sensorineural hearing loss d) Musculoskeletal symptoms e) Chronic aseptic meningitis f) Skeletal abnormalities 4. Arcalyst® (rilonacept) is another IL‐1β blocker indicated for the treatment of CAPS. Both products appear to have similar efficacy. Ilaris has a more convenient dosing regimen and is indicated for a younger age population. c. Still’s disease (adult onset (AOSD) and systemic juvenile idiopathic arthritis (sJIA) i. sJIA is a rare subtype of juvenile idiopathic arthritis that causes body-wide inflammation. It accounts for 4-15% of JIA and is defined as arthritis in > 1 joint for at least 6 weeks duration in a child age < 16 years with or preceded by a fever of at least 2 weeks duration that is documented to be daily for at least 3 days and accompanied by one or more of the following: evanescent erythematous rash, generalized lymphadenopathy, hepatomegaly or splenomegaly, and serositis. The condition can occur in adulthood with similar features and is referred to as adult onset Still’s disease. ii. The underlying inflammatory process appears to be distinct from other categories of autoimmune arthritis, with interleukin (IL)-1 and IL-6 playing a central role. The goal of therapy focuses on prompt control of active inflammation and symptoms and prevention of disease- and or treatment- related morbidities like growth disturbances, joint damage and functional limitations. iii. Treatment varies depending on the degree of synovitis and the presence of active systemic features (fever, rash, lymphadenopathy, hepatomegaly or splenomegaly, serositis). iv. Per the 2013 update of the 2011 American College of Rheumatology (ACR) recommendations for the treatment of JIA, sJIA treatment is typically initiated with a short-term course of systemic glucocorticoid monotherapy or NSAID monotherapy. Disease-modifying anti-rheumatic drugs (DMARDs, preferably methotrexate (MTX) or leflunomide (LEF) per the recommendation) may be beneficial to those without active systemic features but with active joint involvement. Anakinra may be of benefit as initial therapy for those with moderate to severe active systemic features irrespective of the number of joints involved. v. For those with continued disease activity despite initial treatment, potential treatment options may include (in no particular order): abatacept, anakinra, tocilizumab, canakinumab, tumor necrosis factor inhibitors (TNFi; adalimumab, etanercept and infliximab), glucocorticoids, and DMARDs. The recommended choice and order of therapy is dependent on the continued presence (or lack) of active systemic features, the physician global assessment score, active joint count, and previously trialed treatments. The detailed recommendations for subsequent therapies can be found in the This policy and any information contained herein is the property of Blue Cross Blue Shield of Michigan and its subsidiaries, is strictly confidential, and its use is intended for the P&T committee, its members and BCBSM employees for the purpose of coverage determinations. Page 3 of 6 2013 update of the ACR Recommendations for the treatment of JIA (see figures 1 and 2 within the recommendation). vi. Ilaris (canakinumab) and Actemra
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